OrganizationActive
Gold Star Assisted Living
NPI 1396960993 · Assisted Living Facility · Canton, TX
Provider details
- NPI number
- 1396960993
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Tidwell, Manager(903) 567-2762
- License
- 030299 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
503 W Highway 243
Canton, TX 75103-2113
Phone: (903) 567-2762
Fax: (903) 567-2237
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1090
Canton, TX 75103-7090
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.